HESI Exit Exam Fundamentals of Nursing Practice
Questions
80 NCLEX-Style Multiple-Choice Questions for Exam Preparation
1. Infection Control
1. A nurse is caring for a patient with methicillin-resistant Staphylococcus aureus
(MRSA). Which precaution is most appropriate?
A. Airborne precautions
B. Contact precautions
C. Droplet precautions
D. Standard precautions only
Correct Answer: B. Contact precautions
2. A nurse is preparing to enter the room of a patient with tuberculosis. What personal
protective equipment (PPE) is required?
A. Surgical mask
B. N95 respirator
C. Face shield only
D. Gloves only
Correct Answer: B. N95 respirator
3. A patient is placed on droplet precautions. What is the maximum distance for
droplet transmission?
A. 3 feet
B. 6 feet
C. 10 feet
D. 12 feet
Correct Answer: B. 6 feet
4. A nurse is cleaning a spill of body fluids. What is the first step?
A. Apply disinfectant
B. Put on gloves
C. Wipe with a dry cloth
D. Notify housekeeping
Correct Answer: B. Put on gloves
5. A nurse is teaching a patient about hand hygiene. How long should hands be
washed with soap and water?
A. 10 seconds
B. 20 seconds
C. 40 seconds
D. 60 seconds
Correct Answer: C. 40 seconds
6. A patient with Clostridium difficile is admitted. Which cleaning agent should be
1
, used for the room?
A. Alcohol-based cleaner
B. Bleach-based solution
C. Soap and water
D. Vinegar solution
Correct Answer: B. Bleach-based solution
7. A nurse is disposing of a used needle. What is the correct action?
A. Recap the needle
B. Place in a sharps container
C. Dispose in regular trash
D. Break the needle
Correct Answer: B. Place in a sharps container
8. A patient with varicella is admitted. Which isolation precaution is required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Correct Answer: C. Airborne precautions
9. A nurse is removing PPE after caring for a patient on contact precautions. What
is removed first?
A. Gown
B. Gloves
C. Mask
D. Goggles
Correct Answer: B. Gloves
10. A nurse is preparing a sterile field. What action maintains sterility?
A. Reach over the field
B. Keep objects 1 inch from the edge
C. Touch the field with bare hands
D. Place wet items on the field
Correct Answer: B. Keep objects 1 inch from the edge
2. Patient Safety
11. A nurse is assisting a patient with ambulation. What is a priority action to prevent
falls?
A. Ensure the patient wears non-skid footwear
B. Encourage rapid walking
C. Leave the bed in the high position
D. Remove obstacles after ambulation
Correct Answer: A. Ensure the patient wears non-skid footwear
12. A patient with a history of seizures is admitted. What safety measure should the
nurse implement?
A. Keep the bed in the high position
B. Pad the side rails
2
Questions
80 NCLEX-Style Multiple-Choice Questions for Exam Preparation
1. Infection Control
1. A nurse is caring for a patient with methicillin-resistant Staphylococcus aureus
(MRSA). Which precaution is most appropriate?
A. Airborne precautions
B. Contact precautions
C. Droplet precautions
D. Standard precautions only
Correct Answer: B. Contact precautions
2. A nurse is preparing to enter the room of a patient with tuberculosis. What personal
protective equipment (PPE) is required?
A. Surgical mask
B. N95 respirator
C. Face shield only
D. Gloves only
Correct Answer: B. N95 respirator
3. A patient is placed on droplet precautions. What is the maximum distance for
droplet transmission?
A. 3 feet
B. 6 feet
C. 10 feet
D. 12 feet
Correct Answer: B. 6 feet
4. A nurse is cleaning a spill of body fluids. What is the first step?
A. Apply disinfectant
B. Put on gloves
C. Wipe with a dry cloth
D. Notify housekeeping
Correct Answer: B. Put on gloves
5. A nurse is teaching a patient about hand hygiene. How long should hands be
washed with soap and water?
A. 10 seconds
B. 20 seconds
C. 40 seconds
D. 60 seconds
Correct Answer: C. 40 seconds
6. A patient with Clostridium difficile is admitted. Which cleaning agent should be
1
, used for the room?
A. Alcohol-based cleaner
B. Bleach-based solution
C. Soap and water
D. Vinegar solution
Correct Answer: B. Bleach-based solution
7. A nurse is disposing of a used needle. What is the correct action?
A. Recap the needle
B. Place in a sharps container
C. Dispose in regular trash
D. Break the needle
Correct Answer: B. Place in a sharps container
8. A patient with varicella is admitted. Which isolation precaution is required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions
D. Standard precautions only
Correct Answer: C. Airborne precautions
9. A nurse is removing PPE after caring for a patient on contact precautions. What
is removed first?
A. Gown
B. Gloves
C. Mask
D. Goggles
Correct Answer: B. Gloves
10. A nurse is preparing a sterile field. What action maintains sterility?
A. Reach over the field
B. Keep objects 1 inch from the edge
C. Touch the field with bare hands
D. Place wet items on the field
Correct Answer: B. Keep objects 1 inch from the edge
2. Patient Safety
11. A nurse is assisting a patient with ambulation. What is a priority action to prevent
falls?
A. Ensure the patient wears non-skid footwear
B. Encourage rapid walking
C. Leave the bed in the high position
D. Remove obstacles after ambulation
Correct Answer: A. Ensure the patient wears non-skid footwear
12. A patient with a history of seizures is admitted. What safety measure should the
nurse implement?
A. Keep the bed in the high position
B. Pad the side rails
2
